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academies
September 20-21, 2017 | Philadelphia, USA
Global summit on
TUBERCULOSIS AND LUNG DISEASE
Int J Respir Med 2017 Volume 2 Issue 2
O
bjective: assess the ability of unique dietary counseling
recommended by the MoH in order to supply the
nutritional demands caused by TB. As well as the factors
that can affect adherence to dietary counseling. Methods:
prospective observational study conducted in adults
treated for TB, infected and not infected by HIV. These
subjects were assessed through body composition, serum
biomarkers and dietary recall, then we offered dietary
counselling with subsequent self-reported in 180 days of
study. Malnutrition was when at least one of the nutritional
assessment results was outside the normal range. Data
was analysed using the program R-project version 3.0.2
and considered as a significant difference p≤0.05. Results:
68 patients were included at the average age of 41.1 (±
13.4) years, predominantly presented pulmonary clinical
form. All patients had some kind of malnutrition. Those
with HIV (22 patients) had greater impairment of total
proteins, hemoglobin and hematocrit. Only 25% were
malnourished by BMI, 66.1% had anemia, 95.6% had
protein malnutrition, 70.6% had energy malnutrition and
82.4% some degree or type of micronutrient disability. 34
completed the study protocol. The average of energy, zinc
and protein consumption, during treatment, were close
to the RDA recommended minimum, while for the other
nutrients average consumption was generally lower than
the recommended RDA. Only a small portion ingested at
least once in the RDA counseling. Gastrointestinal disorders
were the most prevalent reasons for a self-reported not
adherence. Conclusion: dietary counseling alone did not
reverse malnutrition during TB treatment, in patients with
or without HIV.
Speaker Biography
Adriana Costa Bacelo has completed her PhD at the age of 42 years from National
Institute of Infectious Diseases Evandro Chagas – Oswaldo Cruz Foundation. She is a
Member of Nutrition Service of Oswaldo Cruz Foundation, Member of the Research
Center for Micronutrients of Federal University of Rio de Janeiro and Member of
Clinical Research Laboratory on Mycobacteria of Oswaldo Cruz Foundation.
e:
adriana.bacelo@ini.fiocruz.brNutritional status during tuberculosis treatment in patients with or without HIV
Adriana Costa Bacelo
Oswaldo Cruz, Brazil